| Providence Living Llc | |
|
896 Beacon St Ste A Boston MA 02215-3033 | |
| (617) 314-7544 | |
| (888) 373-9844 |
| Full Name | Providence Living Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 896 Beacon St Ste A, Boston, Massachusetts |
| Authorized Official Name and Position | Dung Gabe Lau (COO) |
| Authorized Official Contact | 6173147544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Living Llc 896 Beacon St Ste A Boston MA 02215-3033 Ph: (617) 314-7544 | Providence Living Llc 896 Beacon St Ste A Boston MA 02215-3033 Ph: (617) 314-7544 |
| NPI Number | 1942920459 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 08/21/2025 |
| Certification Date | 08/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942920459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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